Active NPI
Concerto Medical Group of Michigan, P.C.
- Primary Care Clinic/Center
- Detroit, MI
National Provider Identifier
1831433218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CONCERTO MEDICAL GROUP OF MICHIGAN, P.C.
- Practice address
- 7430 2ND Ave
Ste 210
Detroit, MI 48202-2739 - Phone
- (313) 748-4200
- Fax
- (313) 748-4186
- NPI assigned
- Nov 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cindy Rita Becker, ESQ.
- Title
- Secretary
- Phone
- (949) 398-8413
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 4704203621 | MI | |
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
7430 2ND Ave
Ste 210
Detroit, MI 48202-2739
Mailing address
7430 2ND Ave
Ste 210
Detroit, MI 48202-2739
Phone (313) 748-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831433218 | Medicaid | MI |
Other names 1
- FSC of Michigan Group, PC; FSC of Michigan PC Group, Inc.:
National Provider Directory
National Provider DirectoryLocations
7430 2nd Ave
Ste 2
Detroit, MI 48202
Phone (313) 748-4200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Huntington Beach, CA
- NPI 1750332409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439337600000",
"number": "1831433218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7430 2ND AVE",
"address_2": "STE 210",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022739",
"telephone_number": "313-748-4200",
"fax_number": "313-748-4186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7430 2ND AVE",
"address_2": "STE 210",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022739",
"telephone_number": "313-748-4200",
"fax_number": "313-748-4186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCERTO MEDICAL GROUP OF MICHIGAN, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-25",
"last_updated": "2015-08-12",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "RITA",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "949-398-8413",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "ESQ."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MI",
"license": "4704203621",
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831433218",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FSC of Michigan Group, PC; FSC of Michigan PC Group, Inc.:",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Detroit, MI
- Tricia Lynn Concepcion, OTR
- Concerned About Reaching Everyone Ministries
- Concerto Healthcare of Michigan, Inc.
- Concerto Healthcare of Michigan, Inc.
- Concerto Medical Group of Michigan, P.C.
- Sonja Coney, CAC
- Alexander Han Min Conezio, DO
- Alea Rose Confer
- Michael Francis Conklin, M.D.
- Danieshia Lanae Conley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.